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Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Home » IA Thrombolytic Initiation Date

Release Notes:
Data Element
Version 2016B1

Data Element Name: IA Thrombolytic Initiation Date
Collected For: CSTK-07,
Definition:The date associated with the time that Intra-arterial (IA) thrombolytic therapy was initiated to a patient with ischemic stroke at this hospital. IA thrombolytics convert plasminogen to plasmin, which in turn breaks down fibrin and fibrinogen, thereby dissolving thrombus.
Suggested Data Collection Question:What is the date associated with the time that IA thrombolytic therapy was initiated for this patient at this hospital?
Format:
Length:10 - MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:


MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (2001-Current Year)
UTD = Unable to Determine
Notes for Abstraction:
  • If the date IA thrombolytic therapy was initiated is unable to be determined from medical record documentation, select “UTD”.
  • The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) and no other documentation is found that provides this information, the abstractor should select “UTD”.
    Example:
    Documentation indicates the IA thrombolytic initiation date was 03-*42*-20xx. No other documentation in the medical record provides a valid date. Since the IA thrombolytic initiation date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD”.
    Note:
    Transmission of a case with an invalid date as described above will be rejected from the Joint Commission’s Data Warehouse. Use of “UTD” for IA Thrombolytic Initiation Date allows the case to be accepted into the warehouse.

Suggested Data Sources:

  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Procedure notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

IA Thrombolytic Initiation Date
Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)
Questions? Ask Question to Joint Commission staff Copyright © 2016 by The Joint Commission.
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